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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
07:39

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Published on: August 16, 2021

Dyspnea and a Fistula: A Case Report of an Unusual Cardiac Connection

Muhammad Taimur1, Khaled M Harmouch1, Mohammed M Shaheriyar2

  • 1Detroit Medical Center, Wayne State University School of Medicine, Detroit, Michigan, USA, wayne.edu.

Case Reports in Medicine
|June 8, 2026
PubMed

Insights

Coronary cameral fistulas, rare heart connections, are usually asymptomatic. This case highlights a symptomatic patient with a left anterior descending to right ventricle fistula, emphasizing the need for discussing management strategies.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Diagnostics

Background:

  • Coronary cameral fistulas are uncommon abnormal connections between coronary arteries and heart chambers, affecting <1% of people.
  • Typically asymptomatic incidental findings, their causes are usually congenital or acquired (post-surgery/trauma).

Purpose of the Study:

  • To report a case of symptomatic coronary cameral fistula.
  • To discuss the management of this rare cardiac anomaly.

Main Methods:

  • Cardiac catheterization with coronary angiography was the primary diagnostic tool.
  • Literature review on the management of coronary cameral fistulas.

Main Results:

  • A symptomatic patient presented with dyspnea and hypertension.
  • An incidental mid-left anterior descending to right ventricle cameral coronary fistula was diagnosed.

Conclusions:

  • Coronary cameral fistulas can present symptomatically, contrary to classical presentation.
  • Management strategies for this anomaly warrant further discussion in clinical practice.

Keywords:
angiographycameral fistulascardiaccatheterization

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